TNA Facial Pain Network

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Classification of Neuropathic Facial Pain

·       Classic Trigeminal Neuralgia, type 1, (TN1): (also known as tic douloureux) facial pain of spontaneous onset with greater than 50% limited to the duration of an episode of pain (temporary pain).  TN is often caused by loss of or damage to the nerve’s protective coating, (myelin). The most widely accepted view is that myelin damage results from irritation of the nerve, usually a blood vessel that causes the nerve to be compressed.

 

·     Trigeminal Neuralgia, Type 2, (TN2): facial pain of spontaneous onset with greater than 50% as a constant pain.

 

·     Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.

 

·     Post- Herpetic Neuralgia (PHN): pain resulting from herpes zoster outbreak (SHINGLES) along the trigeminal nerve.

 

·     Trigeminal Neuropathic Pain (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc. This pain is described as dull, burning, or boring and is usually constant because the injured nerve spontaneously sends impulses to the brain. The injured nerve is also hypersensitive to stimulation, so attacks of sharp pain can also be present. The area which is sensitive to touch and triggers these sharp attacks is the same area where the pain occurs. Numbness and tingling are also signs of a damaged nerve.

 

Trigeminal Deafferentation Pain (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolsys, rhizotomy, nucleotomy, tractotomy, or other denervating procedures. Despite the loss of sensation, constant pain is felt in the numb area(s), which varies in intensity and can include sensations of burning, crawling, tingling, boring, stinging, and/or unpleasant aching.

 

  

Latest Activity

Braveheart posted a discussion

Anyone Live in Tampa Bay Area?

I'm searching for anyone with TN who might live in the Tampa, Clearwater, St. Pete area.  While…See More
2 hours ago
Braveheart replied to Braveheart's discussion Anesthesia Dolorosa/Trigeminal Deafferentation
"Hi Jackie, I've been thinking about you and hoping that the stress involved with your…"
2 hours ago
Cindy Ezell TNA Patient Services posted a video
4 hours ago
Cindy Ezell TNA Patient Services replied to Bels's discussion New here and need advice.
"If you have TN caused by Sjorgrens you might not be a candidate for MVD.  Many people have…"
5 hours ago
Bels replied to Bels's discussion New here and need advice.
"Hi Tiffanie! Thank you so much for replying, I had almost given up hope that anyone would. I have a…"
7 hours ago
Tiffanie Tagner replied to Bels's discussion New here and need advice.
"Hi Bels, you sound like one tough cookie!! I would recommend Dr Casey in Trenton, Michigan. He is…"
9 hours ago
Profile IconMary Ann, Rock and BettsBalu joined TNA Facial Pain Network
9 hours ago
stacym replied to BarbyS's discussion Can bilateral TN 1 turn into Atypical TN? in the group Bilateral Trigeminal Neuralgia
"Sorry that your pain is back.  It seems that TN is so poorly understood that anything is…"
18 hours ago

Forum

New here and need advice.

Started by Bels in Surgeries. Last reply by Cindy Ezell TNA Patient Services 5 hours ago. 3 Replies

"Distraction Therapy" by Nikki

Started by Cindy Ezell TNA Patient Services in Tips to Relieve Facial Pain. Last reply by Bushwoman on Saturday. 1 Reply

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